or “underdeveloped bladder” where an overactive bladder spasm too quickly for the child to react.
• It is like a hiccup: You cannot stop it. Even when fully awake, many chronically constipated kids cannot make it to the toilet in time to avoid an accident. So, if a child is sleeps when the bladder hiccups, what chance does this child have of jolting awake and sprinting to the toilet? None! The theory that deep sleep causes bedwetting conveniently overlooks the proven connection between bedwetting and daytime accidents. Children, by contrast, experience dynamic, abrupt bladder spasms. So, boom: wet sheets.
• If a toilet-trained child is wetting the bed, it is a sign of an overactive bladder and/or low bladder capacity. But the bladder is small because the clogged rectum is squishing it not because the bladder is “underdeveloped.”
